Quality at Waitemata DHB

Our quality aims

Our Promise Statement to our community is ‘Best Care for Everyone’. This is the quality standard for how we work together. As a result of this promise we seek continuous improvement in everything we do. We aim to provide care that is safe, clinically effective, and focused on the individual needs of every patient and their whānau that enters our care. We aim to achieve health outcomes and patient experience that are among the best in the world and to be the leader in New Zealand. Our Quality Strategy (2013 – 2016) and quality action plan for 2014 – 2015 can be found here [view our Quality strategy]. The following is a brief summary of progress against the aims set out in our strategy.

Safe care

Reducing mortality

Waitemata DHB has achieved and continues to maintain the lowest risk-adjusted hospital mortality (both in-hospital mortality and mortality up to 30 days post discharge from hospital), among all DHBs in New Zealand [view more about hospital mortality].

Reducing harm

We have undertaken targeted work to reduce harm to our patients. We have achieved:

Falls Assessment AchievementFalls Assessment AchievementFalls Assessment AchievementFalls Assessment AchievementFalls Assessment Achievement

* absolute % increase

Top Patient Safety Strategies - How are we doing?

In 2013 an international panel of patient safety experts (a project team from the RAND Corporation; Stanford University; the University of California, San Francisco; Johns Hopkins University; and ECRI Institute) and 21 stakeholders and evaluation methods experts, with support from the Agency for Healthcare Research and Quality (AHRQ), conducted an evidence-based assessment of patient safety strategies (PSSs). The assessment took four years. After analysing 41 Patient Safety Strategies, the panel identified 22 strategies that healthcare organisations should adopt: enough evidence exists for health systems and organisations to implement these strategies to improve the safety and quality of healthcare[1].

The first 10 Patient Safety Strategies are those strategies that the expert panel “strongly encouraged” for adoption on the basis of sufficiently strong evidence about the effectiveness of each of the strategies. The panel concluded that a further 12 strategies should be “encouraged” for adoption.

How well is Waitemata DHB doing in adopting the Top Patient Safety Strategies?

Patient Safety Strategies - Top 10 (Strongly Encouraged)
Patient Safety Strategies - Encouraged

  1. "Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices". Shekelle PG, Wachter RM, Pronovost PJ, Schoelles K, McDonald KM, Dy SM, et al.(Prepared by the Southern California-RAND Evidence-based Practice Center under contract HHSA290200710062I.) Rockville, MD: Agency for Healthcare Research and Quality; 2013.
    See also: Shekelle PG, Pronovost PJ, Wachter RM, McDonald KM, Schoelles K, Dy SM, et al. Ann Intern Med. 2013;158(5_Part_2):365-368 [http://annals.org/article.aspx?articleid=1657884]
  2. CT: computed tomography
  3. ACS: American College of Surgeons; NSQIP: National Surgical Quality Improvement Program (US)


Effective care

Improving reliability

We are improving care processes by developing standardised processes (pathways, bundles of care and protocols) using evidence-based best practice and measurement of quality and patient experience:

Effective Care - Developing standardised processes


Improving patient experience

The views of our patients are very important to us. We receive feedback by a number of methods including patients completing the Friends and Family Test using tablets on our wards, in clinics and in the community; ‘Happy or Not’ devices that we can move around our facilities; patient and staff listening events; and patient stories, all of which provides valuable information on how to improve.

Effective Care - Developing standardised processes

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